| NPI | 1801899109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY1721) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF 1117) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2022-08-17 |